颈椎病患者常见后天发病因素的调查分析  

Investigation and analysis of common acquired factors in patients with cervical spondylosis

作　　者：姜超 王晓晖 都金鹏 冯超帅 黄大耿 尹思[2] 郝定均[1] Jiang Chao;Wang Xiaohui;Du Jinpeng(Department of Spinal Surgery,the Affiliated Honghui Hospital of Xi'an Jiaotong University,Xi'an 710054,China)

机构地区：[1]西安交通大学附属红会医院脊柱外科,710054 [2]西安交通大学第一附属医院骨科,710061

出　　处：《美中国际创伤杂志》2021年第2期14-17,48,共5页U.S.Chinese International Journal of Traumatology

摘　　要：目的:探索西安地区人群非发育性因素引起的颈椎病的危险因素。方法:采用病例-对照研究,应用自行编制的自填式调查表,对研究人群展开调查。研究对象来自西安市红会医院和西安交通大学第一附属医院的门诊、住院患者及周边社区居民,共调查230人,其中病例组93人,对照组137人。结果:Logistic回归分析显示,年龄增长(OR:1.07;95%CI:1.04-1.10)、长时间伏案(OR:7.27;95%;CI:3.01-17.56)、不良坐姿(OR:3.87;95%CI:1.38-10.85)、高枕睡眠(OR:5.87;95%CI:1.80-19.21)是颈椎病发病的危险因素;而左侧卧位睡姿(OR:0.04;95%CI:0.00-0.63)和右侧卧位睡姿(OR:0.11;95%CI:0.01-0.89)相对于平卧位睡姿且枕于头后/无枕则是颈椎病的保护因素。结论:长时间伏案、不良坐姿、年龄增长、高枕、平卧位睡姿且枕头置于头后/无枕等是颈椎病发病的可能危险因素。Objective:To explore thr risk failors of cervical spondylosis caused by non-developmental factors in Xi'an area.Methods:A case-control study was conducted by using a self-designed questionnaire to investigate the study population.The subjects of this study came from the outpatients and inpatients of the Xi'an red cross hospital and the first affiliated hospital of Xi'an jiaotong university,and the residents of the surrounding communities.A total of 230 people were investigated,including 93 in the case group and 137 in the control group.Results:The results of logistic regression analysis showed that age increasing(OR:1.07;95%CI:1.04-1.10),long-time working over desk(OR:7.27;95%;CI:3.01-17.56),poor sitting posture(OR:3.87;95%CI:1.38-10.85),high pillow sleeping(OR:5.87;95%CI:1.80-19.21)were the risk factors for cervical spondylosis.However,sleeping on the left side(OR:0.04;95%CI:0.00-0.63)and the right side(OR:0.11;95%CI:0.01-0.89)were the protective factors for cervical spondylosis.Conclusion:I^ong-time working over desk,poor sitting posture,age increasing,high pillow and supine posture with/without pillow may be the risk factors for cervical spondylosis.

关 键 词：颈椎病 危险因素 病例-对照研究 Logisiic回归 

分 类 号：R16[医药卫生—公共卫生与预防医学]